Expert consensus document: Advances in the evaluation of anorectal function.
Expert consensus document: Advances in the evaluation of anorectal function.
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DOI：
10.1038/nrgastro.2018.27
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发表时间：
2018-05
期刊：
影响因子：
--
通讯作者：
International Anorectal Physiology Working Group and the International Working Group for Disorders of Gastrointestinal Motility and Function
中科院分区：
文献类型：
--
作者：
Carrington EV;Scott SM;Bharucha A;Mion F;Remes-Troche JM;Malcolm A;Heinrich H;Fox M;Rao SS;International Anorectal Physiology Working Group and the International Working Group for Disorders of Gastrointestinal Motility and Function
大便失禁和排泄障碍是常见的，损害生活质量，并在世界范围内产生巨大的经济成本。由于症状本身是潜在的病理生理学和病因学的不良预测因子，在保守治疗难治的病例中，肛门直肠功能的诊断性检查有助于患者的管理。在过去的十年中，几项重大技术进步提高了我们对肛门直肠结构、协调和感觉运动功能的理解。本共识声明为读者提供了对当前适应症、研究性能特征、临床实用性以及最广泛使用的肛门直肠结构（超声和MRI）和功能（肛门直肠测压、神经生理学检查、直肠扩张技术和排泄试验，包括排粪造影）的优势和局限性的评价。此外，本文提供了我们对这些测试的临床相关性的共识。
Fecal incontinence and evacuation disorders are common, impair quality of life and incur substantial economic costs worldwide. As symptoms alone are poor predictors of underlying pathophysiology and aetiology, diagnostic tests of anorectal function could facilitate patient management in those cases that are refractory to conservative therapies. In the last decade several major technological advances have improved our understanding of anorectal structure, co-ordination and sensorimotor function. This Consensus Statement provides the reader with an appraisal of the current indications, study performance characteristics, clinical utility, and strengths and limitations of the most widely available tests of anorectal structure (ultrasonography and MRI) and function (anorectal manometry, neurophysiological investigations, rectal distension techniques and tests of evacuation including defecography). Additionally this article provides our consensus on the clinical relevance of these tests.
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影响因子：
29.4
作者：
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通讯作者：
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通讯作者：
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作者：
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